Pro Fee Multi - Specialty Surgery Coder

Presbyterian Healthcare Services

1d • $22 - $33 • Remote

About The Position

Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Pro Fee Multi - Specialty Surgery Coder to join our team.

Requirements

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• One-three years experience as a coder required.
• Must possess computer skills including, but not limited to, Word, Excel, PowerPoint.
• Must be able to use the internet and other electronic resources for the purpose of research

Nice To Haves

• Experience with an encoder preferred.
• Experience with an Electronic Medical Record preferred.

Responsibilities

• Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system.
• Ensures adherence to Hospital and Departmental Policies and Procedures
• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission.
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
• Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate.
• Must demonstrate knowledge of coding multiple areas of service and/or specialties.
• Maintains at least a 95% accuracy rate.
• Maintains average to high productivity based on PHS Productivity Standards.
• Maintains continuing education (CE) requirements per PHS policy

Benefits

• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED